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Proposed Form OP-1MX - Federal Motor Carrier Safety ...

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FILING FEE INFORMATION<br />

All applicants must submit a filing fee of $300.00 for each type of registration<br />

requested. The total amount due is equal to the fee(s) times the number of<br />

boxes checked in Section III of the <strong>Form</strong> <strong>OP</strong>-2. Fees for multiple authorities<br />

may be combined in a single payment.<br />

Total number of boxes<br />

checked in Section III _____ x filing fee $ __________ = $ _____________<br />

INDICATE AMOUNT $_____________ AND METHOD OF PAYMENT:<br />

?CHECK OR ? MONEY ORDER, PAYABLE TO: FEDERAL MOTOR CARRIER<br />

SAFETY ADMINISTRATION<br />

? VISA ? MASTERCARD<br />

Credit Card Number ____________________________________________<br />

Expiration Date: _______________________________________________<br />

Signature _________________________________ Date: _____________<br />

<strong>Form</strong> <strong>OP</strong>-2<br />

Revised March 2002<br />

81

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